Important News for Ohio Medicaid Members

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Ohio Medicaid Member News

June 28, 2024


Ohio Medicaid Member News is a short, periodic email update on the progress of the ODM strategic initiatives for individuals who receive services through Ohio Medicaid’s managed care program.


In this issue:


OhioRISE logo update

Raise Your Voice for OhioRISE!

The Ohio Department of Medicaid (ODM) wants to hear your ideas on how to better help young people with behavioral health challenges and their caregivers across the state. We need your ideas to best provide care in our communities and help the OhioRISE program continue to grow with changing needs. We ask you to raise your voice for OhioRISE by either completing this form or sending us an email to OhioRISE@medicaid.ohio.gov, where you can tell us your ideas for improving OhioRISE and share the ways you’re using the program with your family or where you live.

We want to hear from you.

For the past five years, ODM and our partners have been working to improve the way we help young people and their families. We want to keep families together and make sure everyone gets the care they need. This means supporting young people with mental health and substance use challenges through the OhioRISE program. We know this long-term work requires dedication, passion, and teamwork. We rely on your ideas to help OhioRISE grow and get better.

Thank you for your ideas. Please send questions to OhioRISE@medicaid.ohio.gov.

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MyCare Logo

Reminder: Share Your Experiences in an Upcoming MyCare Ohio Program Community Input Session

The Ohio Department of Medicaid is hosting a series of MyCare Ohio program community input sessions to educate Ohioans and their caregivers about the program. The sessions include an open forum to share experiences with the healthcare system and providers.  

If you currently receive services through the MyCare Ohio program or may be eligible, please join us during one of our upcoming sessions. To learn more about MyCare Ohio and community input sessions, visit the MyCare Ohio program webpage. 

In the coming months, we are hosting a series of in-person sessions across Ohio. Please attend the one closest to you. 

Session name 

Location address 

Date/time 

MyCare Ohio program community input session 

July 15, 2024 

2 p.m. - 4 p.m. ET 

MyCare Ohio program community input session 

July 24, 2024 

1 p.m. – 3 p.m. ET 

MyCare Ohio program community input session 

August 5, 2024 

1 p.m. - 3 p.m. ET 

MyCare Ohio program community input session 

August 27, 2024 

2 p.m. - 4 p.m. ET 

MyCare Ohio program community input session 

September 17, 2024 

10 a.m. - 12 p.m. ET 

  If you cannot attend one of our sessions, but would like to share your experiences, please email us at MyCareConversionQuestions@medicaid.ohio.gov. 

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Next Generation MyCare Procurement Quiet Period

In May, we announced the release of the Next Generation MyCare Request for Applications (RFA). MyCare Ohio is a managed care program designed to coordinate care for Ohioans who receive both Medicaid and Medicare benefits. The Next Generation MyCare program aims to improve your healthcare experience. Through the program, MyCare Ohio members will receive all their medical, behavioral, and long-term services and supports.

Like any procurement of this size, this procurement has significant guardrails regarding communications about the procurement and the program.

ODM must adhere to federal and state procurement requirements and appropriate safeguards to ensure a fair process and reduce the risk of post-award challenges. As a result, ODM cannot:

  • Share details related to RFA content, release certain dates, timelines, responses received, and/or award prior to official public announcements.
  • Communicate design discussions and decisions related to the MyCare structure beyond what is stated in the RFA.

At this point in time, ODM is in the “quiet period” for the Next Generation MyCare procurement, which dramatically limits the information available to share on an individual basis. All information ODM releases regarding the Next Generation MyCare procurement must be at equal opportunity of access for potential bidders, preventing any compromise of the procurement.

It is ODM’s commitment to remain as communicative and transparent as possible through the remainder of the procurement process, while still maintaining the integrity of the Next Generation MyCare procurement. ODM will not be able to answer questions from members of the public or potential bidders regarding the Next Generation MyCare program, but general updates and announcements will be posted on the MyCare Ohio webpage on Medicaid.ohio.gov.  

Resources on procurement regulations can be found in the State of Ohio Procurement Manual

For additional information about the RFA or procurement process, visit the MyCare Ohio webpage on Medicaid.ohio.gov.

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Subscribe to the Ohio Medicaid Member News

Feel free to distribute the information contained within this update to your colleagues, organization's members, or with anyone who you think might find it useful. We want all Ohioans to know what is going on with ODM's strategic initiatives.

Please also encourage anyone who you think might be interested in receiving similar updates to subscribe to Ohio Medicaid Member News. To view our past newsletters, please visit our website here.

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